Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
167 Doctors are Online

Upper stomach area pain, right area of gall bladder swollen, pressure on chest area - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi,
User :   hello
User :   dr. i wanted to ask about my laboratory result
Doctor :   Yes, please proceed
User :   \esr;26 mm/hr
User :   CRP positive
User :   C3 (Integra) 190.24 mg/dl
User :   i dont know why my doctor had me do that
User :   dr. are you there?
Doctor :   Yes,
Doctor :   May i know with what symptoms you consulted your doctor ?
User :   well i have many different symptoms but the worst for today is that my upper stomach has severe sharp pain
User :   and when the pain starts i cannot bear it
User :   the right area when the gallbladder is is swollen and tender but i am post lap. chole
User :   epigastric region to be exact is the swollen area
User :   and i also feel sometimes pressure in the middle of my chest
User :   still there dr?
Doctor :   Yes, i read you now
Doctor :   Sorry for the technical glitch we had
User :   ok
Doctor :   Do you have bowel disturbances ?
User :   yes
Doctor :   Can you explain me the same ?
User :   i become constipated for llike 3 weeks
User :   then when i already have BM at first its hard but after 2 X it is like im having diareah
Doctor :   Ok, Do you have loose stools alternating with constipation ?
User :   yes
User :   exactly
Doctor :   Ok, Do you have joint pains or muscle pains ?
User :   i cant feel that i would be having a bowel movement
User :   i would be feeling it when it is already too late
User :   yes exactly
User :   in my fingers
User :   and wrist
Doctor :   ok, Are the finger joints only affected ones . Or do you feel pain in other joints too ?
Doctor :   I mean other larger joints ?
User :   no just the fingers
User :   none in the lower extrimities
Doctor :   Ok, do you have rashes anywhere in the body ?
User :   not rashes exactly but i have itch all 0over
Doctor :   Since when do you have this itching and is it associated with fever or fatigue ?
User :   severe fatigue, no extreme fatigue
User :   everyday i would feel like i would be having a fever but it justlike doesnt come out
User :   itching like 2 going to 3 weeks now
Doctor :   Ok,
Doctor :   here it is, Based on your symptoms it makes on suspicious about you having Ulcerative colitis
Doctor :   and the above tests are to confirm the same
User :   what is it dr?
Doctor :   well since they are positive , i would consider the condition is considered for about 50% possibility in you
Doctor :   Ulcerative colitis is a type of inflammatory bowel disease (IBD) that affects the lining of the large intestine (colon) and rectum.
Doctor :   the reason being unknown
User :   before i could have BM it would be so painful first
Doctor :   one likely cause which could be considered in this condition is autoimmunity
Doctor :   yes, that type of pain is typical
User :   whats that dr?
User :   is this dangerous?
Doctor :   and the other symptoms you have do give strong clues into Ulerative colitis
Doctor :   Well , on long standing basis the condition is very troublesome
Doctor :   but in you as i see the lab values are not too high so as the disease to be so severe
User :   is this treatable?
Doctor :   if started treatment now after confirming the fact , you can have symptom less future
User :   what other test can confirm that i have this
Doctor :   yes, it is treatable. if caught in early times
Doctor :   the other tests which confirm the same are colonoscopy and subsequent colonic biopsy study
User :   a few months ago i can only feel this kind of pain for like 1 a months but now it has been 3 days
User :   what are the risk if not to be treated early?
Doctor :   it can become out of reach to the treatment
Doctor :   it can become a chronic condition , may not be life endangering but troublesome symptoms
User :   what are the worst case scenario? and what are the possible treatments
Doctor :   worst cases like in chronic cases it can get complicated and lead to Massive bleeding in the colon,tears or holes (perforation) in the colon,Colon narrowing,Colorectal cancer etc
User :   what kind of doctor should i see?
Doctor :   the possible treatment modalities at the early stages include 5-aminosalicylates such as mesalamine or sulfazine, which can help control moderate symptoms ,Immunomodulators such as azathioprine and 6-mercaptopurine,Corticosteroids (prednisone and methylprednisolone) taken by mouth during a flare-up or as a rectal suppository, foam, or enema,Infliximab (Remicade) or other biological treatments
Doctor :   You may have to get a integrated involvement of a gastroenterologist and a immunologist
User :   so it means that this treatments is only to reduce the pain ?
Doctor :   The above medications do halt the disease process
User :   is there any chance that this is related because i was already hysterectomized?
Doctor :   and try to prevent the recurrence of the symptoms
Doctor :   no , i do not think it being related to the hysterectomy anyhow
User :   can this be fatal?
Doctor :   very rarely , due to sepsis
User :   with laparoscopic cholecystectomy?
Doctor :   No,
Doctor :   not a chance
User :   ok so what can cause this kind of disease?
Doctor :   As i said the cause in unknown, except that some autoimmunity is noticed in people with such condtion
User :   oh ok
User :   how long from the early stage to severe?
Doctor :   may take months to years, commonly years.
User :   because its been quite sometime already when i was complaining that my stool has mucus with it
User :   in its early stage can this mimic GERD?
Doctor :   Get the colonoscopy done , it will confirm the condition and give insights into the stage the disease is in
Doctor :   yes, it can mimic GERD in early stages
User :   i had already been to colonoscopy because of my complain they have said that it was GERD this was 04/26/2010
Doctor :   Ok thats good to hear , but a biopsy and microscopic study of the same may be much informative
Doctor :   and it was in 2010 , i would advice a repeat test again
User :   ok in your opinion with the time from april of 2010 to now can this still be early stage?
Doctor :   yes, i could be.
Doctor :   Only the test can confirm the same
User :   ok thank you very much dr. for your help
Doctor :   you are welcome
Doctor :   Thanks for consulting me
Doctor :   Kindly provide your feedback
User :   no problem
Doctor :   Wish you good health
Doctor :   Bye for now
Doctor :   take care
User :   thank you
User :   bye
Question is related to
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor